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糖耐量减低的冠心病患者早期干预的预后分析

Early intervention in patients with impaired glucose tolerance prognosis of coronary heart disease

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【作者】 亓波

【Author】 QI Bo(The first people’s hospital of Jining city,Jining 272100,China)

【机构】 山东省济宁市第一人民医院变态反应科

【摘要】 目的:探讨早期干预对糖耐量异常的冠心病患者预后的影响。方法:将154例糖耐量异常的冠心病患者随机分为治疗组和对照组各77例,对照组予以常规治疗,治疗组予以规范性干预,对比观察两组预后。结果:治疗组发生急性心肌梗死2例,新发生心绞痛5例,充血性心力衰竭1例;对照组发生急性心肌梗死5例;新发生心绞痛11例,充血性心力衰竭3例。治疗组心血管事件的总发生率为10.7%,对照组心血管事件的总发生率为25.7%,差异有统计学意义(χ2=5.295,P<0.05)。结论:糖耐量减低的冠心病患者早期干预可改善其预后,减少心血管事件的发生。

【Abstract】 Objective:To investigate the nature of early intervention care to the impaired glucose tolerance in patients with coronary heart disease prognosis.Methods:154 cases of coronary heart disease in patients with impaired glucose tolerance were randomly divided into treatment group and control group of 77 patients in the control group to be conventional therapy,the treatment group to be standardized intervention,the prognosis groups were compared.Results:Of the treatment group 2 cases of acute myocardial infarction,new angina occurred in 5 cases,1 case of congestive heart failure;control group,5 cases of acute myocardial infarction;11 cases of new onset angina,congestive heart failure in 3 cases.Treatment group,the overall incidence of cardiovascular events was 10.7%;control group,the overall incidence of cardiovascular events of 25.7%,the difference was statistically significant(χ2 = 5.295,P<0.05).Conclusion:The early nursing intervention to reduce coronary heart disease in patients with impaired glucose tolerance may improve the prognosis,reduce the occurrence of cardiovascular events.

  • 【文献出处】 中国民康医学 ,Medical Journal of Chinese People’s Health , 编辑部邮箱 ,2010年20期
  • 【分类号】R541.4
  • 【下载频次】34
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